A herniated nucleus pulposus is assessed by:
A) Asking the patient to flex her or his hands back to back at a 90-degree angle.
B) Raising the affected leg and dorsiflexing the foot.
C) Elevating both arms over her or his head for 20 to 30 seconds.
D) Percussing lightly over the median nerve.
B
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Several nurses have just helped a morbidly obese client get out of bed. One nurse accesses the client's record because "I just have to know how much she weighs!" What action by the client's nurse is most appropriate?
a. Make an anonymous report to the charge nurse. b. State "That is a violation of client confidentiality." c. Tell the nurse "Don't look; I'll tell you her weight." d. Walk away and ignore the other nurse's behavior.
On assessment of a client, you note fremitus over the trachea but not in the lung periphery. You know that this most likely represents
a. bilateral pleural effusion. b. bronchial obstruction. c. a normal finding. d. apical pneumothorax.
The prenatal clinic nurse is explaining test results to a client who has had an assessment for fetal well-being. Which statement indicates that the client understands the test result?
1. "The normal Doppler velocimetry wave result indicates my placenta is getting enough blood to the baby." 2. "The reactive non-stress test means that my baby is not growing because of a lack of oxygen." 3. "Because my contraction stress test was positive, we know that my baby will tolerate labor well." 4. "My biophysical profile score of 6 points to everything being normal and healthy for my baby."
The nurse assessed a client's deep tendon reflexes as being normal. Which of the following will the nurse document in the client's medical record?
1. 4+ 2. 3+ 3. 2+ 4. 1+